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This was not to suggest that all commercial smuggling originated from North Carolina

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Cannabis smoking via combustion, even without cigarette smoking [20], has been associated with respiratory symptoms, chronic bronchitis, changes in lung function testing, risk of developing COPD, worsening of asthma and COPD, bullous disease, and lung and head and neck cancer due to exposure to carcinogens [21], cardiovascular complications, allergy, and respiratory infections [22, 23]

Cigar vs Cigarette: Burning Differences Every Smoker Should Know Oct 31, 2025 Last Modified: Jun 02, 2026 Oct 31, 2025 Last Modified: Jun 02, 2026 Cigars and cigarettes are both smokable tobacco products